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中医与天然药物治疗慢性阻塞性肺疾病的机制

The Mechanism of Traditional Chinese Medicine and Natural Medicine in Treating Chronic Obstructive Pulmonary Disease.

作者信息

Li Lei, Liu Xiao-Feng, Cui Zhi-Fang, Zou Heng, Liu Shu-Ling, Wang Hong-Wu

机构信息

Respiratory Disease Center, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, 101121, People's Republic of China.

Beijing University of Chinese Medicine, Beijing, 100029, People's Republic of China.

出版信息

Int J Chron Obstruct Pulmon Dis. 2025 Apr 26;20:1249-1266. doi: 10.2147/COPD.S518248. eCollection 2025.

Abstract

ETHNOPHARMACOLOGICAL RELEVANCE

Chronic obstructive pulmonary disease (COPD) is one of the crucial chronic diseases that seriously endangers the health of residents in China. There is a complex mechanism of the pathogenesis of COPD, and no specific drugs are currently available to reverse the progressive decline in lung function during the natural course of COPD. Traditional Chinese Medicine (TCM) not only alleviates clinical symptoms, but also leads to fewer adverse reactions. However, the mechanism of action of TCM in COPD treatment remains unclear.

AIM

To summarize the mechanisms of action of Chinese herbal compounds and natural drugs in the treatment of COPD and identify potential signaling pathways and targets that can provide preclinical evidence for the treatment of COPD.

METHODS

Literature was retrieved from the scientific databases PubMed, Web of Science, and CNKI, Wanfang Data Knowledge Service Platform, and VIP Chinese Science and Technology Journal from July 2007 to December 2023.

RESULTS

This study introduced the specific pathways, targets and mechanisms of TCM in treating COPD from the perspectives of inhibiting inflammation, reducing oxidative stress, and regulating autophagy.

CONCLUSION

This study provides a comprehensive summary of the theories of Chinese medicine in treating COPD, which utilize multiple targets and pathways to display the advantages of Chinese medicine. This lays the foundation for further exploration of pathways related to Chinese medicine for the treatment of COPD.

摘要

民族药理学相关性

慢性阻塞性肺疾病(COPD)是严重危害我国居民健康的关键慢性病之一。COPD的发病机制复杂,目前尚无特异性药物可逆转COPD自然病程中肺功能的进行性下降。中药不仅能缓解临床症状,而且不良反应较少。然而,中药治疗COPD的作用机制尚不清楚。

目的

总结中草药化合物和天然药物治疗COPD的作用机制,确定潜在的信号通路和靶点,为COPD的治疗提供临床前证据。

方法

检索2007年7月至2023年12月期间科学数据库PubMed、Web of Science以及中国知网、万方数据知识服务平台和维普中文科技期刊中的文献。

结果

本研究从抑制炎症、减轻氧化应激和调节自噬等方面介绍了中药治疗COPD的具体途径、靶点和机制。

结论

本研究全面总结了中医治疗COPD的理论,其利用多个靶点和途径展现了中医的优势。这为进一步探索中医治疗COPD的相关途径奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66dd/12042842/f3437bcd6906/COPD-20-1249-g0001.jpg

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